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2003, 04-30 Permit App: BD03-197 Plumbing Reversal
►5crrt orj,/�,� , 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone pokaile Spokane Valley,WA 99206 509-688-0037-Fax jValley For Inspections, call 509-688-0054 Plumbing Permit Application R Dos - 1 `7 7 PROJECT )i--- ,_ ERMTT ADDRESS: 1 DU c wCr-i2Ur(- SE: ‘.A4_,, SC OWNER: i QA-c-�� (_M i -___,0(---A PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: 0Ot)C,.f _ `�e LICENSE#: 2Lk.. � MAILING ADDRE S: PHONE#: 7'S C 0,Ur\-k\i` ' Cf �V % (street) (city/state) (ZIP) . PLUMBING FIXTURES ' \`\i DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT l 1 TOILETS WATER CLOSET,BIDETS X $6 = 2 URINALS X $6 - 3 TUBS X $6 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 - 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER X $6 = 7 CLOTHES WASHER X $6 = 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLAfON,ALTERATION,REPAIR, WASTE,VENT,PLUMBING( RSALS ) X $6 - REVERSAL / (10 (,'L/ 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE,AND X $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 - HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: METHOD OF PAYMENT __ 1p -00 gasPLUS PROCESSING FEE: $35.00 0 CASH 0 CHECK ❑ =Men ❑ L__.7.::::.3..: TOTAL PERMIT FEE DUE: 4/ .D V DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: